The prone position in healthy pregnant women and in women with preeclampsia – a pilot study

Autor:	Alicia Dennis, L. Leeton, Liesel Elisabeth Hardy
Jazyk:	angličtina
Rok vydání:	2018
Předmět:	Adult medicine.medical_specialty Term Birth Gestational Age Pilot Projects 030204 cardiovascular system & hematology lcsh:Gynecology and obstetrics Patient Positioning Preeclampsia Prone 03 medical and health sciences 0302 clinical medicine Pre-Eclampsia Pregnancy Prone Position medicine Humans Prospective Studies Contraindication reproductive and urinary physiology lcsh:RG1-991 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology Gestational age Heart Rate Fetal Delivery Obstetric medicine.disease Prone position Blood pressure Feasibility Studies Gestation Female business Body mass index Positioning Research Article
Zdroj:	BMC Pregnancy and Childbirth, Vol 18, Iss 1, Pp 1-10 (2018) BMC Pregnancy and Childbirth
ISSN:	1471-2393
DOI:	10.1186/s12884-018-2073-x
Popis:	Background The prone position is rarely used in medical settings in pregnancy. There is no published information about the prone position in women with preeclampsia. This study examined the feasibility and acceptability of the prone position in pregnant women, and the short-term effect of the prone position on blood pressure (BP) in term healthy pregnant women and in women with preeclampsia. Methods After ethics approval, written consent and trial registration (ACTRN:12615000160538 registered 18/02/2015, date of first participant enrolled 03/03/2015), 50 healthy term pregnant women and 15 women with preeclampsia had BP, heart rate (HR), oxygen saturation (SpO2), respiratory rate (RR), fetal heart rate (FHR) and comfort levels measured in two positions: left lateral, and prone. Measurements were after five minutes rest in each position. Results Mean ± SD age, gestation and body mass index for healthy pregnant women was 33 ± 4.1 years, 38 ± 1.0 weeks and 27 ± 3.2 kg.m− 2 and for women with preeclampsia was 32 ± 4.7 years, 36 ± 3.4 weeks, 31 ± 5.6 kg.m− 2 respectively. No clinically significant changes occurred in healthy pregnant women in the prone position. Systolic BP was reduced in the prone position in women with preeclampsia (P = 0.019, mean difference − 6.6 mmHg, 95% confidence interval − 11.9 to − 1.3 mmHg). 33% of women with preeclampsia experienced a 10 mmHg or greater reduction in systolic BP in the prone position. 42% of healthy pregnant women and 47% of women with preeclampsia preferred the prone position to lateral. Conclusions This is the first study to examine the prone position in women with preeclampsia. For short periods of time the prone position is feasible and comfortable in pregnant women including those at term. The prone position may reduce systolic BP in women with preeclampsia without obvious adverse effects. Larger studies with women lying for longer periods in the prone position are required. Pregnancy should not be a contraindication to the prone position for short periods of time. Trial registration ACTRN:12615000160538 Electronic supplementary material The online version of this article (10.1186/s12884-018-2073-x) contains supplementary material, which is available to authorized users.
Databáze:	OpenAIRE
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